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COVID-19 Vaccine Product

Iowa rates for HCPCS 91304

Covers a dose of COVID-19 vaccine — the vaccine material itself, kept separate from the charge for the visit and for giving the injection. Each brand and formulation of COVID-19 vaccine is listed on its own.

Facilitymedian $191 · 10th–90th $191$1910%50%$191Professionalmedian $191 · 10th–90th $191$3240%50%90th$191$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$194.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$323.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$245.47
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$204.17
Typical High
$316.23
Medica
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$169.82
Typical High
$436.52
Medica
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$181.97
Typical High
$218.78
Midlands
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
United
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$426.58
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$190.55
Typical High
$204.17
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55